West Africa Ebola Outbreak 2014 Fourth Quarterly Operational Briefing
Presentation to the
WFP Executive Board FAO Green Room – 20 October 2014
SITUATIONAL UPDATE
Humanitarian Situation •
The Ebola outbreak in West Africa continues to spread exponentially. As of 17 October, WHO reported a total of 9,216 cases and 4,546 deaths in Guinea, Liberia and Sierra Leone. The outbreaks in Nigeria and Senegal have been largely brought under control. Cases have now been confirmed in the U.S. (3) and Spain (1).
•
WHO estimates that the number of cases is doubling every three weeks and that the virus could infect 20,000 people by November. US-CDC warned that the number of cases could reach up to 1.4 million by January 2015 if an adequate response was not implemented.
•
According to the World Bank, the outbreak could cause economic growth to shrink in Guinea by 46 percent, in Liberia by 57 percent and Sierra Leone by 30 percent.
•
Data collection on the impact of the Ebola outbreak on food security is ongoing. Preliminary results point to an impact of the Ebola outbreak on the overall food security situation.
•
Humanitarian responders are working with a moving target – the virus is growing faster than the international community and it’s response.
Security Situation •
Frustration over perceived mishandling of the medical response, mistrust against health workers mixed with local superstitions have triggered scenes of civil unrest in Guinea, Liberia and Sierra Leone. In particular health workers are exposed to the threat of direct attacks
SITUATIONAL UPDATE
.
•
–
On 16 September, eight bodies, including health workers and journalists, were found after an attack on a team trying to educate the population on the risks of the Ebola virus in a remote area of southeastern Guinea.
–
On 20 September a team of health workers trying to bury Ebola victims came under attack near Freetown, and on 23 September INGO workers in Guinea were attacked as they transferred a body for burial.
–
On 26 September in Liberia, a burial team was attacked and had their vehicle tires slashed in Nimba county. Two days later in the south of the country a team of nine health workers was attacked by an angry crowd of over 100 people and were forced to flee overnight through the forest.
Public information and sensitization campaigns have been launched. It is still unclear to what degree these campaigns have been effective in reducing misperception.
Humanitarian responders will continue to face security risks due to hostilities.
Framework of Interventions EMOP (Regional) 200761– Support to Populations in Areas Affected
by the Ebola Outbreak in Guinea, Liberia and Sierra Leone (25 August 2014 – 24 April 2015).
SO (Regional) 200773– Logistics Common Services for the
LICK TO EDIT SUBTITLE
PROGRAMMING
Humanitarian Community’s Response to the Ebola Virus Disease Outbreak in West Africa (15 October 2014 – 28 February 2015).
Activities
Under the Special Operation • Reliable air transport of humanitarian passengers and cargo; • Provision of urgently needed equipment and facilities; • Storage, management and transport of vital supplies; • Emergency telecommunications necessary to coordinate the response; • Staffing to coordinate and provide common services.
LICK TO EDIT SUBTITLE
PROGRAMMING
Under the Emergency Operation • Food distributions in areas of widespread and intense transmission to reduce the spread of Ebola and meet household food and nutrition needs; • Hot meals for patients in Ebola Treatment Centres; • Take-home rations for Ebola survivors discharged from treatment centres; • Food security assessments and remote tracking of food security indicators. as a tool to support the health response.
under the United Nations umbrella and to provide essential support to UNMEER efforts in stopping the spread of Ebola
• Dispatch of food to rural areas and most affected zones to respond immediately to the needs of patients, survivors and communities, and to be ready to adapt to a changing environment; • Procurement of equipment and set-up of 30 Ebola Treatment Centres and Ebola Care Units, accommodating up to 3,000 patients; • Establishing bases at airports in capitals of the three affected countries; • Establishment of 12 Forwarding Logistics Bases across Guinea, Liberia and Sierra Leone to prioritize, consolidate and dispatch the equipment to where it is most urgently required; • Augmentation of the transport capacity in affected countries; • Mobilization and deployment of staff. LICK TO EDIT SUBTITLE
PROGRAMMING
Operational Priorities
Scale up under the EMOP Total Beneficiaries Assisted
438,000 people assisted so far Communities in areas of widespread and intense transmission, Ebola patients and survivors.
300000
200000
100000
0 15-28 Sept Guinea
Liberia
29-12 Oct Sierra Leone
PROGRAMMING
Rapid Response teams New partnerships - 3 in Guinea - 8 in Liberia - 7 in Sierra Leone Opening of new sub-offices - 1 in Guinea - 2 in Sierra Leone
LICK TO EDIT SUBTITLE
1-14 Sept
Total tonnage dispatched
7000
6000 5000 4000 3000 2000 1000
0 1-14 Sept
15-28 Sept Guinea
Liberia
29-12 Oct Sierra Leone
Scale-up under the EMOP
•
WFP/FAO Rapid Food security assessments completed or ongoing in the three countries to assess the impact of Ebola on food security.
•
Remote tracking of food security indicators to identify food security hotspots and monitor trends o First round of mobile VAM completed in Sierra Leone and ongoing in Guinea and Liberia (via SMS or interactive voice response) o Results from Sierra Leone suggest an overlap between food security and the incidence of Ebola. Kailahun and Kenema epicentre districts are worse off in terms of food security. These eastern districts had been among the most food secure in the country at the time of the last comprehensive survey (2010).
•
Regular market analysis and price monitoring
•
WFP/FAO Crop and Food Security Assessment missions covering food availability and trade flow prospects in each affected country within regional dynamics.
LICK TO EDIT SUBTITLE
PROGRAMMING
Food security analysis
Scale-up under the EMOP Lessons learned
• •
PROGRAMMING
• •
•
Ebola-specific distribution guidelines; Distributions modalities in dense urban settings; Rapid response teams; Mobile and large-scale response to the three-day House-to-House sensitization campaign in Sierra Leone; Check lists of preparedness for non-affected countries.
LICK TO EDIT SUBTITLE
Adapting our response as we move forward in a unprecedented and unique operating environment
LOGISTICS
2 FLBs in Guinea 6 FLBs in Liberia 4 FLBs in Sierra Leone
LICK TO EDIT SUBTITLE
Scale Up under the SO: Main Logistics Hubs and FLBs
Scale-up under the SO Common Services Emergency Telecommunications
Construction of ETUs
Two sites under construction in Monrovia (400 beds); one site being assessed in Guinea (100 beds)
Set up at ETUs, for humanitarian partners and for patients at ETU to communicate with their families
Transport capacity
Transport and storage
Trucks and transporters contracted, helipads set up at FLBs.
LOGISTICS
819 passengers and 9.7 mt of cargo transported so far with 2 planes and one helicopter
LICK TO EDIT SUBTITLE
UNHAS
6,227 m3 transported and 1,845 m3 stored so far on behalf of partners
UNHRD
US$2.7 million worth of supplies dispatched so far to affected countries
More than 100 additional staff for the Special Operation mobilized and currently being deployed to the region
Challenges Fear on part of community and of responders; Volatile security situation; Unique operating environment; Limited number of cooperating partners for the EMOP and high demands on those presently on the ground; • Access constraints (heavy rains, bad road conditions…); • Lack of transport capacity; • Coordination and information-sharing with the various actors and hubs. LICK TO EDIT SUBTITLE
• • • •
The Way Forward
LICK TO EDIT SUBTITLE
• Operationalizing hubs and Forward Logistics Bases; • Expanding Common Services for partners; • Exploring Cash and Voucher interventions; • Expanding mVAM tools to conduct monitoring; • Integrating food security pillar alongside support to medical response, based on results of mVAM and food security assessments.
Operational Requirements
(USD)
PLANNED BENEFICIARIES
RECEIVED (USD)
CURRENT SHORTFALLS
92,666,030
1.36 million
48,188,296
44,477,737
87,000,000
---
PROJECT EMOP 200761 (25.08.2014 24.02.2015) SO 200773* (15,10,2014 28.02.2015)
10,955,032
(USD)
76,044,968
consolidated Special Operation (SO 200773) supersedes both previous SOs and regroups all common services.
RESOURCING
*The
LICK TO EDIT SUBTITLE
BUDGET
Resource Mobilization 2014 Donors: EMOP
AMOUNT (USD million)
Multilateral
1.5
USA
12.4
Guinea
7.1
China
6
Sierra Leone
6
UN CERF Liberia
RESOURCING
Switzerland
Japan Private Donors TOTAL
LICK TO EDIT SUBTITLE
DONOR
Net Funding Requirements (October 2014 – March 2015)
US$37.6 Million
5.6 5.6 2.1
2014 Gross Needs Funded
1.7 0.1 48.1 million
64.8%
Resource Mobilization 2014 Donors: SO 200773, SO 200760, SO200767
AMOUNT (USD million)
Japan
5,000,000
UN CERF
3,818,133
Sierra Leone, The Republic Of
3,500,000
Denmark
1,767,097
European Commission Switzerland
RESOURCING
Norway Switzerland USA Luxembourg TOTAL
LICK TO EDIT SUBTITLE
DONOR
1,270,648
Current Shortfall
US$76 Million
2014 Gross Needs Funded
1,052,632 861,178 338,413 250,000 131,752 17.9 million
26.2%
Risks and mitigation Measures RISKS
MITIGATION MEASURES
Risk of contamination of WFP staff and lack of existing health infrastructure
• •
Limited number of experienced Cooperating Partners ready to engage in WFP food distributions and work in Ebola affected areas and directly with Ebola patients
•
Overland border closures and suspension of commercial flights into Ebola-affected countries
•
LICK TO EDIT SUBTITLE
RISKS
•
• • •
• •
Rehabilitation of UN Clinics in the affected countries Securing of “safe spaces” with supplies to isolate staff should there be a need Health Protocols in place and Health Advisor in each country Ebola-specific distributions guidelines developed with WHO and health partners Identification and training of partners Set up of mobile response teams Adapting distributions to dense urban areas Set up of UNHAS flights between affected countries and regional hubs Contracting of a time-chartered vessels for food and non-food items deliveries to the affected countries Using internal advance financing mechanisms to procure food early and maximize availability of corridors
